Provider Demographics
NPI:1922572296
Name:PERFECT MOTION SPORTS THERAPY, LLC
Entity Type:Organization
Organization Name:PERFECT MOTION SPORTS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCGOVERN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:781-619-0116
Mailing Address - Street 1:303 OLD BEAVERBROOK
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01718-1007
Mailing Address - Country:US
Mailing Address - Phone:781-844-4449
Mailing Address - Fax:
Practice Address - Street 1:61 ENDICOTT STREET BUILDING 33
Practice Address - Street 2:FLOOR 2
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:01867
Practice Address - Country:US
Practice Address - Phone:781-619-0116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty